Starfile

Starfile / Virginia

THE LAURELS OF UNIVERSITY PARK

2420 PEMBERTON RD, RICHMOND, VA 23233 · CCN 495109

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
145
Avg residents/day
131.2
Phone
8047479200

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityVirginia avgNational avgvs state
12024-04-242214.49.5+7.6 worse
22022-06-152512.39.8+12.7 worse
32021-05-122011.99.3+8.1 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care7
Resident assessment and care planning4
Nursing and physician services3
Resident rights3
Nutrition and dietary2
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6251.0%
RN staffing (reported)0.3550.0%
Total nurse staffing (adjusted)3.64

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
CIENA HEALTHCARE/LAUREL HEALTH CARE
Facilities in chain
84
Chain avg overall
2.80 / 5

Inspection citations (67)

  1. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-10-28 · Health · corrected 2025-11-21

    Potential for more than minimal harm

  2. DF0583Keep residents' personal and medical records private and confidential.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  3. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  4. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  5. DF0641Ensure each resident receives an accurate assessment.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  6. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  7. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  8. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  9. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  10. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  11. DF0692Provide enough food/fluids to maintain a resident's health.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  12. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  13. EF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  14. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  15. CF0730Observe each nurse aide's job performance and give regular training.2024-04-24 · Health · corrected 2024-06-07

    Potential for minimal harm

  16. CF0732Post nurse staffing information every day.2024-04-24 · Health · corrected 2024-06-07

    Potential for minimal harm

  17. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  18. CF0814Dispose of garbage and refuse properly.2024-04-24 · Health · corrected 2024-06-07

    Potential for minimal harm

  19. DF0880Provide and implement an infection prevention and control program.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  20. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  21. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-04-24 · Health · corrected 2024-06-07

    Potential for more than minimal harm

  22. CF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-04-24 · Health · corrected 2024-06-07

    Potential for minimal harm

  23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-21 · Health · corrected 2023-04-17

    Potential for more than minimal harm

  24. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-21 · Health · corrected 2023-04-17

    Potential for more than minimal harm

  25. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  26. DF0558Reasonably accommodate the needs and preferences of each resident.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  27. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  28. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  29. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  30. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  31. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  32. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  33. DF0641Ensure each resident receives an accurate assessment.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  34. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  35. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  36. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  37. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  38. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  39. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  40. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  41. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  42. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  43. EF0697Provide safe, appropriate pain management for a resident who requires such services.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  44. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  45. DF0730Observe each nurse aide's job performance and give regular training.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  46. DF0759Ensure medication error rates are not 5 percent or greater.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  47. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  48. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  49. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-06-15 · Health · corrected 2022-07-26

    Potential for more than minimal harm

  50. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  51. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  52. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  53. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  54. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  55. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  56. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  57. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  58. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  59. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  60. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  61. EF0695Provide safe and appropriate respiratory care for a resident when needed.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  62. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  63. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  64. DF0730Observe each nurse aide's job performance and give regular training.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  65. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  66. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

  67. DF0880Provide and implement an infection prevention and control program.2021-05-12 · Health · corrected 2021-06-15

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
LAUREL HEALTH CARE HOLDINGS, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2016-02-01
LAUREL ACQUISITION HOLDING CORPORATIONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2016-02-01
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2016-02-01
QAZI, MOHAMMADIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2016-02-01
LAUREL HEALTH CARE COMPANYOrganizationOPERATIONAL/MANAGERIAL CONTROL2016-02-01
CONRAD, THOMASIndividualOPERATIONAL/MANAGERIAL CONTROL2022-04-04
FELTY, DANNYIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-01
QAZI, MOHAMMADIndividualOPERATIONAL/MANAGERIAL CONTROL2016-02-01
KHAN, ANISIndividualOPERATIONAL/MANAGERIAL CONTROL2016-02-01

Other facilities in RICHMOND

NameOverallBeds
VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD★★★★★47
WESTMINSTER-CANTERBURY OF RICHMOND★★★★★158
SITTER AND BARFOOT VETERANS CARE CENTER★★★★☆200
SHALOM GARDENS HEALTH & REHABILITATION★★★★☆101
OUR LADY OF HOPE HEALTH CENTER★★★★☆75

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.